Kyle Holley Email & Phone Number

Maryland Heights, Missouri, Us

• Developed a CMMI model to evaluate projected ACO REACH and MSSP performance, allowing for automated curation scenarios from a database of 100% NPI/TIN level Medicare FFS data.• Negotiate with payers and model value-based agreements on behalf of client partners to ensure the best terms and maximize revenue potential.• Lead a system-wide web-based dashboard implementation for financial payer reporting through onboarding raw payer claims data into a consolidated datamart.• Create pro-formas projecting the value derived from payer and client terms.• Assist with month-end and forecast deliverables on expected value-based performance.

Chicago, Illinois, Us

• Manage the executive financial reporting for Payer Strategy and Relationships, and the consolidation of rate impact and payer economic forecasts for the alignment of two multi-billion dollar health systems.• Project manager for the creation of a software program for tracking value-based agreement attributes, terms, performance, accounting, and costs stored via SQL database.• Create and manage an online visualization platform for drillable analytics into value-based performance and participation, as well as a website for central access to all executive reports, dashboards, and software support.• Develop and oversee the value-based agreement performance and participation database to create transparency and a systematic approach to quality metrics, contract terms, revenue, and risk management.• Develop a methodology to standardize and calculate the net revenue of all value-based agreements across the health system.• Produce executive value-based reports for C-suite and Board metric goal deliverables.• Leverage terms and performance data to create financial models aid in strategic discussions regarding maximizing the potential opportunity of our value-based portfolio.• Create cross-functional alignment for a centralized, systematic approach to rate change inputs for the annual budget and strategic financial planning.• Oversee the distribution of capitation waterfall and membership reports.

Englewood, Co, Us

• Managed the executive financial reporting for Payer Strategy and Operations, which negotiates $6B in managed care contracts.• Implemented automated bundled payment program data analytics and performance dashboards for our CJR and BPCI programs across the country to improve financial and clinical outcomes. • Modeled CMS claims data against internal claims data to identify the most favorable bundled episode portfolio. Shared savings methodology development and administration.• Oversaw the CMS compliance and reporting requirements for nationally convened value-based programs.• Implemented BPCI Advanced across 19 hospitals and 56 clinical episodes, including all program management, education, reporting, and analytics.

Englewood, Co, Us

• Managed the Charge Description Master (CDM) optimization for the different regions to create a standardized, defensible approach to pricing, while generating an estimated $56.3M in annual new net revenue.• Created an automated economic forecasting and reporting dashboard to project the impact of various rate assumptions on each market's major managed care contracts.• Conducted the financial reporting for Payer Strategy and Operations, which negotiates $6B in managed care contracts.• Implemented automated bundled payment program data analytics and performance dashboards for our CJR and BPCI programs across the country to improve financial and clinical outcomes. • Gainshare methodology development and administration.

• Reviewed existing research to help define parameters for future research methodologies.• Developed mediator personality profiles via negotiation transcriptions.• Created a standardized template to score and analyzed mediator's cognitive processes.• Performed analytical techniques for publishing.

St. Louis, Mo, Us

Being a part of the portfolio management team allowed me to view project management at an enterprise level. My position enabled me to consolidate various data sources and automate the analyses to produce relevant forecast and variance reports, which aided in the proactive management of the project portfolios. Furthermore, my interactions with leaders throughout the enterprise facilitated the development of a long-term strategy that will provide direction for the team’s actions going forward. Specific duties are listed below:• Assisted in the management of a $330 million IT project portfolio (approximately 800 projects).• Analyzed the master portfolio file to ensure accurate and complete information is reported and recorded.• Forecasted actual vs. allocation spend for the various portfolios to determine the best use of funds.• Automated the analyses to improve forecast accuracy and reduce labor costs.• Collaborated with cross-functional leaders to develop a departmental strategic road map.

Springfield, Mo, Us

I worked closely with the director of budgeting to prepare the health system’s global budget. As a result, I helped directors and vice presidents across the system determine their budgetary needs for the next fiscal year and find easy ways to cut costs. Additionally, the acquisition of a new hospital provided new challenges for the system. I was able to help with the consolidation of departments and identify an error that improved the budget by $9 million. Specific duties are listed below:• Aided in the preparation of a $1.2 billion health system budget.• Saved $9 million on the budget through auditing medical service contracts.• Developed a method to standardize and compare newly consolidated corporate departments and hospitals.• Created internal satisfaction surveys for support departments and compiled results for scorecard analysis.

Chesterfield, Missouri, Us

Performed the function of a psychometrist for indigent patients. Through these interactions I developed the skills to effectively and compassionately obtain the required information from a diverse set of disabled individuals. I also became proficient with a large number of assessments, the uses of each, and how to score and interpret them. Therefore, I learned to look beyond the raw data, more specifically, to determine the best source for the needed data and how the data translates into meaningful recommendations. Specific duties are listed below:• Administered, scored, and interpreted various neuropsychological assessments for hospital inpatients and outpatients to aid in treatment, surgery planning, disability verification, and educational placement.• Participated in discussions regarding the restructuring of the Behavioral Health division.

Springfield, Mo, Us

This position provided insight into a university nursing program, and the requirements nurses must meet in order to be licensed. I was responsible for recruiting new students and preparing the pre-nursing students for admission into nursing programs. Specific duties are listed below:• Advised over 150 pre-nursing majors and structured class schedules to optimize nursing program placement.• Implemented the Nurse for a Day recruitment program and increased participation for this event by over 200% in nine months, resulting in an expansion of the program sessions.

Saint Louis, Mo, Us

Was part of a research team examining the neurological and behavioral effects of concussive TBI in veterans by using multimodal imaging and neuropsychological assessments. This experience taught me how to develop a targeted, national recruiting effort, ensure seamless travel logistics for participants, and maintain an active database of all participant information. Specific duties are listed below:• Conducted various administrative, logistical, and research duties for a $5 million study.• Maintained the master database, to ensure accurate and current information for each participant.• Recruited participants from across the country and collaborated with airlines, hotels, restaurants, and transportation companies to ensure high participant morale and timeliness for the two-day study.

Being a shift manager for almost 4 years instilled in me the leadership qualities I apply in team environments today. In particular, I learned the importance of fostering and tailoring to people’s strengths, the need to provide flexibility to those you lead, and how to effectively teach new skills. Specific duties are listed below:• Managed 20-30 cooks/servers and delegated daily responsibilities to maximize efficiency and profit.• Forecasted and managed inventory, balanced registers, and created employee schedules.• Interacted with patrons and alleviated complaints to maximize customer satisfaction and retention.

Master Of Business Administration (M.B.A.), Marketing Analytics

Master’S Degree, Health/Health Care Administration/Management

Master’S Degree, Clinical Psychology

Bachelor’S Degree, Psychology